Active NPI
Gilliard Health Services
Doing business as Jackson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Jackson, AL
National Provider Identifier
1437252913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medicare Defined Swing Bed Hospital Unit
- License
- 09686
- Legal business name
- GILLIARD HEALTH SERVICES
- Doing business as
- Jackson Medical Center
- Practice address
- 220 Hospital Dr
Jackson, AL 36545-2459 - Phone
- (251) 246-9021
- Fax
- (251) 246-1122
- NPI assigned
- Sep 7, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Ryland
- Title
- Assistant Administrator
- Phone
- (251) 246-9021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 09686 | AL | Primary |
Addresses
Primary practice location
220 Hospital Dr
Jackson, AL 36545-2459
Mailing address
220 Hospital Dr
Jackson, AL 36545-2459
Phone (251) 246-9021
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4791280S | Medicaid | AL |
Other names 1
- JACKSON MEDICAL CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Gilliard HLTH Svcsmaria
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Jackson Medical Center Home Health
- Home Health Agency
- Jackson, AL
- NPI 1790954733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437252913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 HOSPITAL DR",
"city": "JACKSON",
"state": "AL",
"postal_code": "365452459",
"telephone_number": "251-246-9021",
"fax_number": "251-246-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 HOSPITAL DR",
"city": "JACKSON",
"state": "AL",
"postal_code": "365452459",
"telephone_number": "251-246-9021",
"fax_number": "251-246-1122"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GILLIARD HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RYLAND",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
"authorized_official_telephone_number": "251-246-9021"
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "AL",
"license": "09686",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4791280S",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JACKSON MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jackson, AL
- Encore Rehabilitation, Inc. (Encore Rehab of Jackson)
- Fast Pace Medical Clinic PLLC (Fast Pace Health)
- Shalithia Ecarion Frowner, CNA
- Steven P Furr, MD
- Allison Garrick, MS-CF SLP
- Gilliard Health Services (Jackson Medical Center)
- Gilliard Health Services (Jackson Medical Center Home Health)
- Graceful Hearts
- Brian Keith Graham, D.C.
- Grace Greene
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.